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[Factors influencing Intensive Care Units nurses in end-of-life decisions]
Michelle Freire Baliza1, Regina Szylit Bousso2, Kátia Poles3
1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, BR.
Objective:
To identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations.
Method:
Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses.
Results:
The inductive thematic analysis enabled us to identify four themes:The cultural context of the Intensive Care Unit: decision-making in situations of end-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations: the patient and family centered care.
Conclusion:
Professional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.
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